Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $3,019.95 / $7,762.47	Facility		$199.53	$3,019.95	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility	50	$4,073.80	$4,073.80	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $234.42 / $851.14	Professional		$102.33	$234.42	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $954.99	Professional		$288.40	$354.81	$954.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $4,073.80	Facility		$158.49	$158.49	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $457.09	Professional		$158.49	$158.49	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $186.21 / $50,118.72	Facility		$34.67	$186.21	$50,118.72
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	52	$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	53	$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $380.19 / $1,122.02	Professional		$128.82	$380.19	$1,122.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $117.49 / $354.81	Facility		$89.13	$117.49	$354.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $630.96	Professional		$363.08	$436.52	$630.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $776.25	Professional		$281.84	$446.68	$776.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,202.26 / $3,311.31	Facility		$645.65	$1,202.26	$3,311.31
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,819.70 / $2,137.96 / $5,370.32	Facility	50	$1,819.70	$2,137.96	$5,370.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $50,118.72 / $75,857.76	Facility		$125.89	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $812.83	Professional		$363.08	$426.58	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,311.31 / $6,165.95	Facility		$1,445.44	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $269.15 / $776.25	Professional		$95.50	$269.15	$776.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $117.49 / $204.17	Facility		$87.10	$117.49	$204.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $630.96	Professional		$204.17	$371.54	$630.96